Radiologic examination, spine, lumbosacral; 2 or 3 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Spine, Lumbosacral; 2 or 3 Views
Common Name(s): Lower Back X-ray, Lumbar Spine X-ray
Technical Term: Lumbosacral Radiography
Summary
A radiologic examination of the lumbosacral spine uses X-rays to create images of the lower part of the spine. The procedure typically involves taking 2 or 3 different views to get a comprehensive look at the area.
Purpose
Medical Condition or Problem: This procedure is used to diagnose issues such as lower back pain, scoliosis, fractures, infections, or degenerative diseases of the spine.
Goals: The aim is to identify any abnormalities or injuries in the lumbosacral region that could be causing symptoms, allowing for appropriate treatment planning.
Indications
- Persistent lower back pain
- History of trauma to the lower back
- Suspected spinal fractures
- Degenerative conditions like arthritis
- Suspected infections
- Pre-surgery evaluation or post-surgery follow-up
Preparation
- No special fasting or medication adjustments are usually required.
- Patients may be asked to remove any metallic objects, such as jewelry, that could interfere with the imaging.
- In some cases, a lead apron or other protective measures may be used to protect certain parts of the body from radiation.
Procedure Description
- The patient will be asked to lie on an X-ray table or stand, depending on the views required.
- Multiple views (typically 2 or 3) of the lower spine will be taken from different angles.
- The radiologic technologist will position the patient and the X-ray machine to capture clear images.
- The X-ray machine will emit a small dose of radiation to capture images on film or a digital system.
- No anesthesia or sedation is required for this non-invasive procedure.
Duration
The entire process typically takes about 10 to 20 minutes.
Setting
The procedure is usually performed in a hospital’s radiology department, an outpatient clinic, or a dedicated imaging center.
Personnel
- Radiologic Technologist: Conducts the X-ray and positions the patient.
- Radiologist: A medical doctor specializing in interpreting medical images will analyze the X-rays.
Risks and Complications
- Common Risks: Exposure to a low level of radiation.
- Rare Risks: Allergic reactions to contrast material if used, although contrast is not typically needed for basic X-rays.
Benefits
- Provides valuable information to diagnose or rule out conditions causing lower back pain.
- Helps guide treatment plans and monitor recovery.
- Results are typically available quickly, aiding in prompt diagnosis and treatment.
Recovery
- No specific recovery time is needed; patients can resume normal activities immediately.
- Follow-up with the healthcare provider may be necessary to discuss the results and next steps in treatment.
Alternatives
- MRI: More detailed images but more expensive and time-consuming.
- CT Scan: Detailed imaging with more radiation exposure.
- Physical Examination: Less detailed but non-invasive and without radiation.
Patient Experience
- The procedure is painless, although some patients may feel temporarily uncomfortable staying still in certain positions.
- No significant pain management is needed, and comfort measures include prompt positioning adjustments by the technologist.
This markdown text provides a comprehensive yet understandable guide to the radiologic examination of the lumbosacral spine, covering all critical aspects of the procedure in clear and concise sections.